Job Description
Welcome to Abrazo Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine relationships and heartfelt compassion. It's what sets us apart and makes us truly special.
When you join our team, you're not just stepping into a job - you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.
Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Abrazo Health, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.
If you're ready to go above and beyond, to embrace the energy and camaraderie that Abrazo Health offers, then join us on this incredible adventure. Together, we'll embrace a healthier world - one patient at a time. Let your career find its purpose here at Abrazo.
RN Case Manager Part Time Days Position Summary
Position is responsible for effectively and efficiently managing patient throughput from admission through discharge for assigned patients. The position conducts review for clinical appropriateness and level of care using evidence based criteria and works with payers to authorize care. The Case Management (CM) Intern will conduct the primary duties outlined under the direction and supervision of designated proctors. After one year of successful internship CM Intern will function independently.
SPECIAL SKILLS: The critical knowledge base of nursing process, continuum of care and case management methods and standards, excellent communication and documentation skills. Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and Standards of Practice, ANA Code of Ethics for Nurses, Arizona Nurse Practice Act, Core Measures and American Case Management Association (ACMA) Case Management Standards of Practice.
THE RN CASE MANAGER PART TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
MINIMUM EDUCATION: Nursing Degree from an Accredited Nursing School.
PREFERRED EDUCATION: Bachelor of Science in Nursing
MINIMUM EXPERIENCE: 3 years acute care hospital experience required and one to two years case management experience. For Case Management Interns, the minimum experience is waived with the requirement that the Intern completes the Abrazo Case Management Boot Camp and the Boot Camp Post Test. After one year of successful internship CM Intern will function independently.
PREFERRED EXPERIENCE: 3 years experience in Case Management, Utilization Management or Discharge Planning, in acute care.
REQUIRED CERTIFICATIONS/LICENSURE: Current Registered Nurse License in the State of Arizona.
REQUIRED COURSE(S) TRAINING: MIDAS, CuraSpan and InterQual criteria training with proficiency testing within first 90 days of hire.
PREFERRED CERTIFICATIONS/REGISTRATION: Certified Case Manager, CCM or Accredited Case Manager, ACM.
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Responsibilities
The individual's responsibilities include the following activities:
a) accurate medical necessity screening and submission for Physician Advisor review,
b) care coordination,
c) transition planning assessment and reassessment,
d) implementation or oversight of implementation of the transition plan,
e) leading and facilitating multi-disciplinary patient care conferences,
f) managing concurrent disputes,
g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,
I) communicating with patients and families about the plan of care,
j) collaborating with physicians, office staff and ancillary departments,
k) leading and facilitating Complex Case Review,
l) assuring patient education is completed to support post-acute needs ,
m) timely complete and concise documentation in Case Management system,
n) maintenance of accurate patient demographic and insurance information,
o) identification and documentation of potentially avoidable days,
p) identification and reporting over and underutilization,
q) and other duties as assigned.
Qualifications
Education:
Required: Graduate of an accredited school of nursing
Preferred: Academic degree in nursing (bachelor's or master's)
Experience:
Required: 2 years of acute hospital patient care experience
Preferred: Acute hospital case management experience
Certifications:
Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
Physical Demands:
Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force. Frequent sitting. Moderate standing, walking, reaching, stooping, and bending. Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.
About Us
Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
About the Team
Careers at Tenet
At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.